LE VIEUX PRESBYTERE- BOOKING FORM

The Property Address: Le Vieux Presbytère, Au Village, 32800 Noulens, France
The Property Owners: Richard & Jackie Wallace-Jones

NAME (HIRER) Mr/Mrs/Ms __________________________________________________

ADDRESS _________________________________________________________________

___________________________________________________________________________

_________________________________________ POST CODE _____________________

CONTACT TEL: _______________________ MOBILE ___________________________

EMAIL ADDRESS __________________________________________________________

Hire period: 1 / 2 week(s) Other (Please delete as appropriate)

Holiday start date: 16:00 Saturday the ________ day of _____________________

Holiday end date : 10:00 Saturday the ________ day of _____________________

I would like to reserve (please circle your choice) LA MOUETTE (6) - L'HERISSON (4)- BOTH
No of adults ______ No of children (please state ages) _______________________________

(*) Rental costs are as per the enclosed brochure or our website www.escapetogascony.com

NB: You are advised to take out a Travel Insurance Policy with a cancellation clause that may enable you to recover non-refundable monies

I have read the document "Booking Terms and Conditions" and accept them on behalf of all my party who will reside in the property.

I further acknowledge that the balance (above) is due 8 weeks before the holiday start date on receipt of the final invoice from the Property Owners.

I enclose my 25% Booking Deposit payment of £ _________ made out to Mrs J WALLACE-JONES - or
I will be transfering my 25% Booking Deposit payment of £ _________ by electronic transfer
(Please delete as appropriate)

Signed: _______________________________________

Date: _______________________________________